Care Home: Windsor Residential Care Home

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What the care home does well Important information about the service such as what facilities are available and how to make a complaint are now written in an easy read format. This means that people who live in the home can understand this information more easily. To ensure that more people understand this information, the registered manager is going to develop these guides using photographs. Care plans are person centred. Evidence was seen that the home is currently developing "all about me" care plans which use short sentences and pictures to describe the things that are most important for that person, in a way that the person can understand. Care plans contain goals around people`s independent living skills. The daily notes detail how these goals have been met and how people have been offered choices. There are robust procedures in place for the storage and administration of medicines,including a weekly audit. This means that people receive medicines safely and as prescribed by their GP. There are robust procedures in place to ensure that only people who have been vetted are employed to work at the home. Staff records show that all staff are up to date with the training that is necessary for them to support the people in their care. The percentage of staff who have achieved a National Vocational Qualification (NVQ) has increased from 23% in 2009 to 83%. NVQ`s demonstrate a person`s competence in their role as a care worker. What the care home could do better: It is important that any form of restraint is used as a last resort. In one care plan there is conflicting documentation in place as to whether this person may require physical intervention. There was no plan in place describing the technique to be used that had been agreed as a result of a multi agency meeting. It is required that this omission is addressed immediately to ensure the person`s safety. The home is not doing all that it can to ensure that people are doing the things that they want to do. The care plan that was looked at did not contain any goals around activities and interests. Daily notes for three people were looked at and gave little evidence that people engage in a range of activities. For two people the main written entry under the heading of was `watching TV`. The current staffing levels in the home are not effective in ensuring that people can access the community on a regular basis and need to be reviewed. There was little evidence that people regularly go out in the community. For example, one person`s notes evidence that they had been outside the home twice in a month. The staff training matrix should be further developed to include all specialist training. Random inspection report Care homes for adults (18-65 years) Name: Address: Windsor Residential Care Home 18-20 St Mildreds Road Westgate-on-sea Kent CT8 8RE two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Nicki Dawson Date: 2 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: Windsor Residential Care Home 18-20 St Mildreds Road Westgate-on-sea Kent CT8 8RE 01843836055 Telephone number: Fax number: Email address: Provider web address: windsor.house@craegmoor.co.uk www.craegmoor.co.uk Name of registered provider(s): Name of registered manager (if applicable) Ms Carole Saunders Type of registration: Number of places registered: Conditions of registration: Category(ies) : Parkcare Homes Limited care home 17 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 17 The maximum number of service users to be accommodated is 17. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Windsor Residential Care Home provides residential care and support for up to 17 adults with learning disabilities. The home has recently been divided into two units, providing separate accommodation for 6 younger adults with a learning disability and 9 older people with a learning disability. Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home The home is within walking distance of the Westgate-on-Sea. The local amenities include shops and the seafront. The train station is nearby and there are bus links to the surrounding towns. The home also has its own transport. Windsor Residential Care Home is part of Craegmoor Healthcare, which operates over 250 care homes. At the last key unannounced inspection on 23 May 2008 we were informed that the current range of fees were £786.12 to £914.52 per week. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: The quality rating for this Service is 2 Star. This means that the people who use this service experience good quality outcomes. We arrived on an unannounced basis at the service at 9.30am. Our inspection focused on how well things are going for the people who live in the home. We took into account information provided by the service in their Annual Quality Assurance Assessment. We received this document on time and it gave us good information about how the service aims to maintain and improve the current service. During our inspection, we spoke with the registered home manger and one support worker. We observed the people in the service while they were being supported by staff and spoke with three of these people. We looked at the communal areas of the home and at a selection of key records and documents. These included things like the individual written plans of support and staff training records. Before we visited the service, we asked ten people who in the home and ten care staff to fill out a questionnaire for us. We wanted them to tell us what they think of the service provided at the home. We received completed questionnaires from three people who live in the home and two members of staff. People who live in the home told us that they can choose what they want to do during the day; that the home is always fresh and clean; and that the care staff and manager listen and act on what they say. Only one person told us that they know how to make a complaint. Two people told us that care staff and the manager always treat them well but one person told us that these people never treated them well. However, this person did not state in the questionnaire how they had not been treated well. This person also went on to say that the home could, be more happy but that the home, makes me laugh. Care staff told us that they receive support from their manager; that they know what to do if someone has a concern about the home; and that there is usually enough staff on duty to meet peoples needs. What the care home does well: Important information about the service such as what facilities are available and how to make a complaint are now written in an easy read format. This means that people who live in the home can understand this information more easily. To ensure that more people understand this information, the registered manager is going to develop these guides using photographs. Care plans are person centred. Evidence was seen that the home is currently developing all about me care plans which use short sentences and pictures to describe the things that are most important for that person, in a way that the person can understand. Care plans contain goals around peoples independent living skills. The daily notes detail how these goals have been met and how people have been offered choices. There are robust procedures in place for the storage and administration of medicines, Care Homes for Adults (18-65 years) Page 4 of 8 including a weekly audit. This means that people receive medicines safely and as prescribed by their GP. There are robust procedures in place to ensure that only people who have been vetted are employed to work at the home. Staff records show that all staff are up to date with the training that is necessary for them to support the people in their care. The percentage of staff who have achieved a National Vocational Qualification (NVQ) has increased from 23 in 2009 to 83 . NVQs demonstrate a persons competence in their role as a care worker. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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